Individual provider Active NPI

Lauren D McBride

  • Counselor
  • MC Lean, VA
National Provider Identifier
1780196394
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701006858 Issued in VA
Practice address
1483 Chain Bridge Rd Ste 301
MC Lean, VA 22101-5703
Phone
(571) 766-8123
NPI assigned
Nov 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701006858 VA Primary

Addresses

Primary practice location

1483 Chain Bridge Rd Ste 301
MC Lean, VA 22101-5703

Mailing address

7421 Shreve Rd
Falls Church, VA 22043-3206
Phone (703) 677-7577

Other practice location 1

11204 Waples Mill Rd
Fairfax, VA 22030-6036
Phone (703) 218-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701006858VAMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780196394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 SHREVE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220433206",
            "telephone_number": "703-677-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 CHAIN BRIDGE RD STE 301",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221015703",
            "telephone_number": "571-766-8123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11204 Waples Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220306036",
            "country_code": "US",
            "telephone_number": "703-218-8575",
            "fax_number": "703-359-0463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "LAUREN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701006858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.